| NPI | 1457604910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KELSEY President 312-943-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 041321244) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |